OrganizationActive
Premiere Ortho-Pedo PLLC
NPI 1003234360 · Orthodontics and Dentofacial Orthopedics Dentistry · Washington, DC
Provider details
- NPI number
- 1003234360
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Marvin Ngwafon, President(202) 725-7735
- License
- DEN1001349 (DC)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
437 Cedar St Nw
Washington, DC 20012-1931
Phone: (202) 725-7735
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 55474
Washington, DC 20040-5474
Registry dates
- Enumerated
- 2014-04-03
- Last updated
- 2023-11-09
- Certified
- 2023-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.